Thank you for choosing our office as your dental health care partner. We are committed to providing you with the highest quality lifetime dental care, so that you may fully attain optimum oral health.
Please understand that payment of your bill is considered part of your treatment. Payment is due at the time the service is provided. Our office accepts cash, personal checks, Mastercard, American Express, and Visa. Outside financing with CareCredit is available upon request and approval. We do not extend credit or have in-office payment plans.
Please note: returned checks will be subject to a $50.00 fee.
In the case it becomes necessary for our office to enlist a collection service and/or legal assistance, you will be responsible for any collection and/or legal charges. Accounts past 60 days will be charged a monthly finance fee of 18 percent of the remaining balance.
In an effort to control the cost of our dental fees, a fee of $50.00/hour will be charged to your account for any appointments for which you are scheduled and fail to cancel within 24 hours. We will call, text, and e-mail you appointment reminders. If we do not have a response from these efforts, your appointment is considered confirmed. We pride ourselves on being on time for your appointment, and we ask that you do that same for us. Arriving 15 minutes (or more) late could result in having to reschedule the appointment.
Insurance *As a courtesy to you we will help process all your insurance claims and we will contact your dental insurance provider to check your benefits and submit claims on your behalf. We are not responsible for and can make no guarantees as to the coverage your dental insurance will provide. As the patient, it is ultimately your responsibility to know your dental insurance and benefits, and you are responsible for any balance that is not paid by dental insurance. We require that all patients, with or without insurance, pay for their treatment at the time of service. We will be happy to file a pre-determination prior to any treatment to your insurance so we can get more of an accurate estimate of what they should pay, but it is still not a guarantee of their payment.
*All charges you incur are your responsibility regardless of your insurance coverage. We must emphasize that as your dental care provider our relationship is with you, our patient, not with your insurance company. Your insurance policy is a contract between you, your employer, and your insurance company. Our office is not party to that contract.
*Our practice is committed to providing the best treatment for our patients and we charge usual and customary for our area. You are responsible for payment regardless of any insurance company’s arbitrary determination of usual and customary fee.
*We ask that you pay the deductible and co-payment, which is the estimated amount not covered by your insurance company, at the time services are rendered. Our office accepts Visa, Mastercard, American Express, check, cash, or CareCredit.
*If your insurance has not made payment within 60 days, if payment is not received, or your claim is denied, you will be responsible for paying the full amount at that time.
*Our office is currently ‘IN-NETWORK’ with: Delta Dental Premier.
If you have a question with whether your insurance is considered in-network, please contact your dental insurance or our office 317-733-0571.
We thank you for the opportunity to serve your dental needs and welcome any questions you may have concerning your care or our financial policy.